Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.44 / $2,987.00 / $6,915.00	Facility		$154.44	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $165.45 / $295.95	Professional		$101.09	$165.45	$295.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $335.01 / $335.01 / $335.01	Professional		$335.01	$335.01	$335.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $187.78 / $338.06	Professional		$120.16	$187.78	$338.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $179.67 / $338.87	Professional		$105.86	$179.67	$338.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $192.94 / $338.75	Professional		$128.03	$192.94	$338.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $192.62 / $287.75	Professional		$128.03	$192.62	$287.75
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $221.14 / $394.82	Professional		$149.88	$221.14	$394.82